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Permit Waiver Request Form
Waiver rules are outlined in DPR's regulations, Rule 716.16-716.19.

It is recommended that waiver requests are made 60 days before your event and will not be accepted less than 30 days from the date of the event. Please plan ahead, there is time needed to properly assess each waiver/discount requested.

Waivers and discounts are not given for DPR staff charges.

Email address *
Name of Organization/Agency *
Your answer
Please provide a brief information about the organization/agency. *
Your answer
Type of Organization *
First and Last Name of Applicant *
Your answer
Applicant's Email Address *
Your answer
Event Name *
Your answer
Event Location (Please note: DPR does not waive fees for events not held on DPR properties) *
Your answer
Event Start Date *
MM
/
DD
/
YYYY
Event Start Time *
Time
:
Please provide a brief description of the event. *
Your answer
Will this event be open to the public? *
Will participants be charged for this event? *
If yes, how much?
Your answer
Current amount of outstanding balance for your event. *
Your answer
Amount requested to be waived (i.e. full waiver, 50%, certain dollar amount, etc.. Please note 716.17 in the notes below, waivers do not apply to staff charges. *
Your answer
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